Provider Demographics
NPI:1790350858
Name:FAUST-JONES, SHELLY J (COMS, CVRT)
Entity Type:Individual
Prefix:
First Name:SHELLY
Middle Name:J
Last Name:FAUST-JONES
Suffix:
Gender:F
Credentials:COMS, CVRT
Other - Prefix:
Other - First Name:SFJ CONSULTING, LLC
Other - Middle Name:
Other - Last Name:SFJ CONSULTING, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7100 ROUTE 183
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:19507-9681
Mailing Address - Country:US
Mailing Address - Phone:570-617-0583
Mailing Address - Fax:717-933-5681
Practice Address - Street 1:7100 ROUTE 183
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:PA
Practice Address - Zip Code:19507-9681
Practice Address - Country:US
Practice Address - Phone:570-617-0583
Practice Address - Fax:717-933-5681
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind